Smith, Phyllis C

Smith, Phyllis C is an individual health care provider with primary practice located at 10626 Chapman Hwy , Seymour TN 37865-4703. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smith, Phyllis C can be contacted via phone (865) 577-5231.

Contact Information

Primary practice address
10626 Chapman Hwy Seymour TN 37865-4703
Fax: (865) 577-1539
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN71129 Tennessee

Profile Details

NPI number 1992868343
LBN Legal business name Smith, Phyllis C
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992868343 NPPES
Tennessee MEDICAID 3344525
Tennessee Other 3149851

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